Treatment Invasion of External Factors Symptoms and signs Sudden occurrence of tongue pain, fever, an aversion to cold and

headache are the most common symptoms where the tongue pain is caused by invasion of External factors. 230 sense organ pain If it is an invasion of Wind-Heat, there is a red and swollen tongue, erosions on the tongue, thirst, a red tongue with a thin and yellow coating and a superficial and rapid pulse. If it is an invasion of Wind-Cold, the tongue is stiff, and there is a lack of thirst, spasm of the facial muscles, a thin and white tongue coating and a superficial and tight pulse. If it is an invasion of Dryness-Heat, the throat is dry, there is thirst, and the tongue has a yellow and dry coating. Principle of treatment Dispel Wind, dispel External factors and relieve the tongue pain. Herbal Treatment a. Prescription for invasion of Wind-Heat YIN QIAO SAN Honeysuckle and Forsythia Powder. This formula is indicated in tongue pain due to invasion of Toxic Heat, in which there is tongue pain with obvious swelling and pain. Meanwhile, some other herbs, such as Ye Ju Hua Flos Chrysanthemi Indici 10g, Chuan Xiong Radix

Ligustici Wallichii 10g and Huang Qin Radix Scutellariae 10g could be added to relieve the tongue pain. SANG JU YIN Mulberry Leaf and Chrysanthemum Decoction. This formula is indicated in tongue pain due to invasion of WindHeat to the Lung system, manifested mainly as cough and throat pain besides the tongue pain. Some other herbs, such as Chuan Xiong Radix Ligustici Wallichii 10g, Huang Qin Radix Scutellariae 10g, etc., should be added to strongly relieve the tongue pain. b. Prescription for invasion of Wind-Cold JING FANG BAI DU SAN Schizonepeta and Ledebouriella Powder to Overcome Pathogenic Toxin. This formula is indicated in tongue pain with severe External symptoms. Some other herbs could be added into the prescription to relieve the tongue pain, such as Gui Zhi Ramulus Cinnamomi 6g, Xi Xin Herba Asari 5g and Bai Zhi Radix Angelicae Dahuricae 10g, etc. CHUAN XIONG CHA TIAO SAN LigusticumGreen Tea Regulating Powder. This formula could be used to treat tongue pain with headache due to invasion of Wind-Cold. This formula could not greatly relieve the External symptoms, but it could effectively relieve the tongue pain. Some other herbs could be added into the prescription to better relieve the tongue pain, such as Gui Zhi Ramulus Cinnamomi 6g and Xi Xian Cao Herba Siegesbeckiae 10g, etc. c. Prescription

for invasion of Dryness-Heat SANG XING TANG Mulberry Leaf and Apricot Kernal Decoction. This formula is specially designed for cough due to invasion of Wind, Heat and Dryness. It has the effect of nourishing the Body Fluid, benefiting the throat, dispelling the Wind, Heat and Dryness and relieving the cough. However, it is not sufficiently effective at relieving the tongue pain; therefore some other herbs should be added into the prescription to increase the therapeutic result, such as Chuan Xiong Radix Ligustici Wallichii 10g, Huang Qin Radix Scutellariae 10g, and Bai Zhi Radix Angelicae Dahuricae 10g, etc. QIAO HE TANG Forsythiae and Menthae Decoction. This formula was originally used to treat general dysfunction of orifices due to invasion of Wind, Heat and Dryness. When it is used to treat the tongue pain due to invasion of the above pathogenic factors, add Huang Qin Radix Scutellariae 10g, Bai Zhi Radix Angelicae Dahuricae10g, Niu Bang Zi Fructus Arctii 10g and Dan Nan Xing Arisaema cum Bile 10g to dispel the Wind, clear the Heat, moisten the Dryness and relieve the tongue pain. Modifications 1. If the tongue is red and swollen owing to invasion of Wind-Heat, add Pu Gong Ying Herba Taraxaci 10g and Zhu Ye Herba Lophatheri 10g to clear the Heat and reduce the swelling 2. If there is thirst due to invasion of Dryness-Heat, add Mai Dong Radix Ophiopogonis 10g and

Xuan Shen Radix Scrophulariae 10g to nourish the Yin of the Lung and the Stomach and relieve the thirst 3. If there is high fever due to the predominance of Heat invasion, add Chai Hu Radix Bupleuri 5g to clear the Heat and reduce the fever 4. If there is much headache, add Man Jing Zi Fructus Viticis 10g to dispel the Wind-Heat and sedate the headache 5. If there is much cough and expectoration of yellow phlegm owing to invasion of the Lung by WindHeat, add Qian Hu Radix Peucedani 10g and Zhe Bei Mu Bulbus Fritillariae Thunbergii 10g to dispel the Wind-Heat, disperse the Lung-Qi, eliminate the Phlegm and relieve the cough. tongue pain 231 Patent remedy For invasion of Wind-Heat: Huang Lian Shang Qing Wan Coptis Pill to Clear Heat of Upper Burner. For invasion of Wind-Heat: Jing Fang Bai Du Pian Schizonepeta and Ledebouriella Tablet to Overcome Pathogenic Toxins. For invasion of Wind-Dryness: Qing Fei Yi Huo Pian Clear Lung and restrain Fire tablet.